当归补血汤加减治疗全膝关节置换术后血虚发热的临床疗效研究

发布时间：2019-04-16 09:13

【摘要】：目的:探讨当归补血汤加减治疗全膝关节置换术后血虚发热的临床疗效方法:收集从2014年9月至2016年1月在安徽中医药大学一附院骨二科诊断为膝关节骨性关节炎,保守治疗无效符合人工全膝关节置换标准行单膝人工全膝关节置换术的患者。挑选其中符合纳入标准和无排除标准的60例病人,按照病人手术日期先后顺序,随机分配为治疗组30例、对照组30例。两组术前常规检查.术后常规治疗,抗感染等。对照组给予常规物理降温,体温超过38.5℃时给予吲哚美辛栓纳肛。治疗组在物理降温的同时配合中药当归补血汤加减,每日一剂,分早晚两次空腹服用,连续服用七天。观察两组治疗前后的体温变化和患者血虚发热症状积分,术后血红蛋白的变化。通过两组治疗数据的比较,来评价当归补血汤加减治疗全膝关节置换术后血虚发热的临床疗效.结果:1.对照组与治疗组年龄,性别,体重比较均无统计学意义(p0.05)2.两组术后第1-3天体温无统计学差异(p0.05),术后第4-7天体温恢复治疗组优于对照组,通过统计学数据分析有明显差异(p0.05)。3.两组术后第1-3天血红蛋白(HGB)无统计学差异(p0.05),术后第4-7天血红蛋白(HGB)治疗组优于对照组,通过统计学数据分析有明显差异(p0.05)。结论:当归补血汤加减治疗全膝关节置换术后血虚发热的临床疗效显著,患者体温恢复和血虚症状的改善以及血红蛋白的增长明显优于对照组,中医药在治疗术后血虚发热值得推广。
[Abstract]:Objective: to investigate the clinical efficacy of Danggui Buxue decoction (Danggui Buxue decoction) in the treatment of blood deficiency fever after total knee arthroplasty: from September 2014 to January 2016, the patients were diagnosed as osteoarthritis of knee joint in the first affiliated Department of Anhui University of traditional Chinese Medicine. A patient whose conservative treatment does not meet the criteria of total knee arthroplasty for single knee arthroplasty. 60 patients who met the inclusion criteria and no exclusion criteria were randomly divided into treatment group (n = 30) and control group (n = 30) according to the order of operation date. Routine examination was performed before operation in both groups. Postoperative routine treatment, anti-infection, etc. The control group was given routine physical cooling, and when the body temperature exceeded 38.5 鈩，

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